2020年哈尔滨市存活HIV感染者/AIDS患者随访情况及影响因素分析  

Analysis of the status of HIV/AIDS follow-up and the influencing factors in Harbin City in 2020

作　　者：罗超[1] 颜玉涛[1] 杨璧璘 白岩 张俊杰 刘岩琳[1] LUO Chao;YAN Yu-tao;YANG Bi-lin;BAI Yan;ZHANG Jun-jie;LIU Yan-lin(Harbin Center for Disease Control and Prevention,Harbin,Heilongjiang 150056,China)

机构地区：[1]哈尔滨市疾病预防控制中心,黑龙江哈尔滨150056

出　　处：《中国公共卫生管理》2022年第6期824-827,共4页Chinese Journal of Public Health Management

摘　　要：目的分析哈尔滨市存活HIV感染者/AIDS患者随访情况及影响因素。方法从中国艾滋病综合防治信息系统下载截至2020年12月底的HIV感染者/AIDS患者病例报告及随访数据,收集2019—2020年哈尔滨市接受社会组织随访及关怀服务的HIV感染者/AIDS患者数据,采用二元logistic回归分析哈尔滨市HIV感染者/AIDS患者随访率的影响因素。结果2020年哈尔滨市HIV感染者/AIDS患者的随访率为80.34%。单因素分析结果显示:婚姻状况、文化程度、职业、地区类别、疾病状态、感染途径、样本来源、接受社会组织关怀服务与是否完成随访有统计学意义(P<0.05)。多因素分析结果显示:接受社会组织关怀服务,职业为教师/医生/干部,文化程度为大专及以上,地区类别为本省其他地市、本市其他区/县、本县/区,样本来源为检测咨询,是提高HIV感染者/AIDS患者随访率的影响因素;疾病状态为HIV感染,婚姻状况为离异或丧偶、未婚,文化程度为初中及以下,是降低HIV感染者/AIDS患者随访率的影响因素。结论要针对HIV感染者/AIDS患者的特点,采取有针对性的随访方式,加大社会组织参与随访工作的力度,提高哈尔滨市HIV感染者/AIDS患者随访工作质量。Objective To analyze the status of HIV infected persons/AIDS patients follow-up and the influencing factors in Harbin City.Methods The data were obtained from China Integrated AIDS Prevention and Control Information System at the end of 2020,and the data of HIV infected persons/AIDS patients follow-up and cared by non-government organizations from 2019 to 2020.Binary logistic regression was used to analyze the follow-up rate of HIV infected persons/AIDS patients in Harbin City.Results The follow-up rate of HIV infected persons/AIDS patients in Harbin City in 2020 was 80.34%.Univariate analysis showed that marital status,education level,occupation,area category,disease status,route of infection,sample source and receiving non-government organizations care service were statistically correlated with whether follow-up were completed(P<0.05).Multivariate analysis showed that receiving care services from non-government organizations,occupation of teacher/doctor/cadre,education level of college or above,other cities in the province,other districts and counties in the city,and sample from detection consultation were the influencing factors for improving the follow-up of HIV infected persons/AIDS patients.HIV disease status,divorce,widow or unmarried,junior middle school education level or below were the influencing factors for decreasing the follow-up of HIV infected persons/AIDS patients.Conclusion Targeted methods should be adopted according to the characteristics of different HIV/AIDS cases.It is suggested to adopt targeted follow-up,increase the participation and follow-up of social organization,and improve the quality of follow-up of HIV infected persons/AIDS patients in Harbin City.

关 键 词：HIV感染者 AIDS患者 随访 检测 社会组织 影响因素 

分 类 号：R169.1[医药卫生—公共卫生与预防医学]